Irys Ako Agbortabi, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Columbia, MD
NPI 1760163489 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1760163489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R185250 (MD)
- Practice address
- 10400 Little Patuxent Pkwy Ste 240
Columbia, MD 21044-3540 - Phone
- (321) 422-7110
- NPI assigned
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Digestive Disease Associates LLC
First Colonies Anesthesia Associates, LLC
Lifebridge Community Gastroenterology LLC
Medstar Medical Group - Southern Maryland LLC
Johns Hopkins University
Practice addresses (Care Compare)
10710 Charter Dr
Suite 120
Columbia, MD 21044-3258
Phone (410) 772-7345
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000
1838 Greene Tree Rd
Suite 400
Pikesville, MD 21208-7103
Phone (410) 602-7782
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
6201 Greenleigh Ave
Middle River, MD 21220-2004
Hospital & facility affiliations
- Holy Cross Hospital
- Johns Hopkins Hospital, the
- Holy Cross Germantown Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250122000103 | MD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547799512 | Reassigns benefits to 5 organizations |
| I20250122000185 | DC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547799512 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R185250 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Lifebridge Community Gastroenterology, LLC | Current |
Accepting new patients | |
| Digestive Disease Associates, LLC | Current |
Accepting new patients | |
| Pikesville MD Endoscopy ASC LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current |
Accepting new patients | |
| Johns Hopkins University | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Johns Hopkins University | Current |
Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| US Anesthesia Partners of DC PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Dr Wendy Kloesz, M.D., P.a | Past | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797
10400 Little Patuxent Pkwy
Ste 240
Columbia, MD 21044
Phone (321) 422-7110
10710 Charter Dr
Ste 120
Columbia, MD 21044
Phone (410) 772-7345
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343
1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
Interoperability endpoints
- irys.agbortabicrna.p2@direct.msmg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R185250 | MD | Yes |
Addresses
Primary practice location
10400 Little Patuxent Pkwy Ste 240
Columbia, MD 21044-3540
Mailing address
10400 Little Patuxent Pkwy Ste 240
Columbia, MD 21044-3540
Phone (321) 422-7110
Other providers in Columbia, MD
- Fonkeng Comfort Afuaka
- Farzaneh Agahi
- Puneet Agarwal
- Nickolas Theophilos Agathis
- Sarah Bong Agboli
- Agnes Ashu Agbortarh
- Cecily Marie L. Agcaoili
- Age Right Care LLC
- Agewell Alliance
- Saavitri Aggarwal
All providers in Columbia, MD · Certified Registered Nurse Anesthetist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.